LAPEER PEDIATRICS, P.C. (NPI# 1265623276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265623276 |
| Entity Type | Organization |
| Organization Name | LAPEER PEDIATRICS, P.C. |
| Practice Address |
1083 Suncrest Dr Suite-a Lapeer MI 48446-4421 |
| Practice Telephone | 8102459700 |
| Practice Fax Number | 8102459703 |
| Mailing Telephone | 8102459700 |
| Mailing Fax Number | 8102459703 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | DR. MOHAMMAD AL HARASTANI (PRESIDENT) |
| Authorized Official Telephone | 8102459700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4301067273 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTH PLUS | 41A87114 | 01 |
| MI | BLUE CARE NETWORK | 350D410030 | 01 |
| MI | AETNA | 5243111 | 01 |
| MI | BCBS | 35-0-44-1237-1 | 01 |
| MEDICARE PTAN NUMBER | 0P48210 | 01 | |
| MI | MCLAREN HEALTH PLAN | 1026494 | 01 |
| MI | 1619968922 | 05 | |
| MI | PPOM | 526 | 01 |
| MI | HEALTH ALLIANCE PLAN | F76263 | 01 |
| MI | CIGNA | 8572330001 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1026494 | 01 |
| Street Address |
1083 SUNCREST DR SUITE-A |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171424 | Antoun Aftimos | Internal Medicine | 1083 Suncrest Dr, Suite A, Lapeer, MI 48446-4421 | 2005-08-11 |
| 1922614726 | Sydney Ann Howard | Pediatrics | 1083 Suncrest Dr, Lapeer, MI 48446-4421 | 2020-09-17 |
| 1316422801 | Lauren Christine Sutton | Physician Assistant | 1083 Suncrest Dr, Lapeer, MI 48446-4421 | 2018-10-01 |
| 1477075729 | Adrienne Wisniewski | Nurse Practitioner | 1083 Suncrest Dr, Lapeer, MI 48446-4421 | 2017-07-07 |
| 1861428021 | Marcus Alan Daig | Physician Assistant | 1083 Suncrest Dr, Suite A, Lapeer, MI 48446-4403 | 2006-06-22 |
| 1619968922 | Mohammad Al-harastani | Pediatrics | 1083 Suncrest Dr, Suite-a, Lapeer, MI 48446-4421 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
| Find all providers in zip 48446 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821394297 | Edwin L Delange, Do PC | Clinic/Center | 3273 Davison Rd, Suite #2, Lapeer, MI 48446-2902 | 2011-02-02 |
| 1609101807 | Marie G Walsh, Md, Plc | Clinic/Center | 3273 Davison Rd, Suite 1, Lapeer, MI 48446 | 2009-10-06 |
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| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.